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Experimental Psychology (Russia)
2015. Vol. 8, no. 3, 99–117
doi:10.17759/exppsy.2015080310
ISSN: 2072-7593 / 2311-7036 (online)

Comparison of the ability to mentalization in patients with schizophrenia and schizoaffective psychosis based on the methodology «Understanding the mental state of theeyes»

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A.B. Kholmogorova, M.A. Moskacheva, O.V. Rychkova, O.D. Pugovkina, V.V. Krasnova-Goleva, A. Dolnykova, D.M. Tsarenko, Y.M. Rumyantseva

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Abstract

We present the data of the survey of patients with schizophrenia, schizoaffective psychosis and a group of mentally healthy people using the test «Understanding the mental state of the eyes» («Eyes test») by Baron-Cohen, aimed at assessing the capacity for mentalization. We describe the procedure for selecting the most valid test cards for Russian sample of subjects. It is shown that the results of the test «Eyes» of schizoaffective disorder patients are intermediate between patients with schizophrenia and healthy subjects, 1. ability for mentalization they save more than patients with schizophrenia. The findings are discussed in the context of theoretical models of the spectrum of mental pathology. The data of the survey of patients and healthy subjects, additional procedures aimed at identifying the communication capacity for mentalization with the severity of psychopathology (Hospital scale questionnaire SCL-90-R) and social motivation in the form of focus on the contact with others and the ability to enjoy them (The scale of social avoidance and distress scale Brief fear of negative evaluation, social anhedonia scale), as well as focus on the mental and emotional sphere of life (Toronto alexithymia scale). Based on the correlation analysis of the data concludes that there is a statistically significant inverse association between the ability to mentalization, on the one hand, and the severity of psychopathology and the reduction of social orientation – on the other

General Information

Keywords: mentalization, schizophrenia, schizoaffective psychosis, schizophrenia spectrum, the spectrum model, the definition of the mental state of the eyes, social motivation, social anhedonia, social anxiety

Journal rubric: Psychodiagnostics

Article type: scientific article

DOI: https://doi.org/10.17759/exppsy.2015080310

For citation: Kholmogorova A.B., Moskacheva M.A., Rychkova O.V., Pugovkina O.D., Krasnova-Goleva V.V., Dolnykova A., Tsarenko D.M., Rumyantseva Y.M. Comparison of the ability to mentalization in patients with schizophrenia and schizoaffective psychosis based on the methodology «Understanding the mental state of theeyes». Eksperimental'naâ psihologiâ = Experimental Psychology (Russia), 2015. Vol. 8, no. 3, pp. 99–117. DOI: 10.17759/exppsy.2015080310. (In Russ., аbstr. in Engl.)

References

  1. Drobizhev M.Iu. Neironal’naia plastichnost’ – novaia mishen’ v terapii depressii. [Neuronal plasticity – a new target in the treatment of depression]. Moscow: NTSPZ Medical Sciences, 1993. 24 p. (In Russ.).
  2. Krasnova V.V., Kholmogorova A.B. Sotsial’naia trevozhnost’ i ee sviaz’ s emotsional’noi dezadaptatsiei, urovnem stressa i kachestvom interpersonal’nykh otnoshenii u studentov [Social anxiety and its relation to emotional maladjustment, stress levels and quality of interpersonal relationships among students]. Voprosy psikhologii [Questions of psychology], 2011, no. 3, pp. 49–58 (In Russ.).
  3. Kurek N.S. Issledovanie emotsional’noi sfery bol’nykh shizofreniei (na modeli raspoznavaniia emotsii po neverbal’noi ekspressii) [The study of the emotional sphere of schizophrenic patients (on the model of recognition of non-verbal expression of emotions)]. Zhurnal Nevropatologii i psikhiatrii imeni S.S. Korsakova [Journal of Neuropathology and Psychiatry named after S.S. Korsakov], 1985, no. 2., pp. 70–75 (In Russ.).
  4. Rumiantseva E.E. Model’ psikhicheskogo i kognitivnoe funktsionirovanie u bol’nykh molodogo vozrasta posle perenesennogo endogennogo pristupa: diss. … kand. psikhol. nauk [Model mental and cognitive functioning in young patients after myocardial endogenous attack: diss. ... cand. psychol. sciences]. Moscow: NTSPZ RAMS, 2014. 196 pp. (In Russ.)
  5. Rychkova O.V. Narusheniia sotsial’nogo intellekta u bol’nykh shizofreniei: diss. … dokt. psikhol. nauk [Violations of social intelligence in patients with schizophrenia: diss. ... doctor. psychol. sciences]. St. Petersburg: St. Petersburg State University, 2011. 475 p. (In Russ.)
  6. Rychkova O.V., Kholmogorova A.B. O mozgovykh osnovakh sotsial’nogo poznaniia, povedeniia i psikhicheskoi patologii: kontseptsiia «sotsial’nyi mozg» – «za» i «protiv» [About the brain bases of social cognition, behavior, and mental disorders: the concept of the “social brain” - “for” and “against”]. Voprosy psikhologii [Questions of psychology], 2012, no. 5, pp. 1–16 (In Russ.)
  7. Rychkova O.V., Kholmogorova A.B. Sotsial’naia angedoniia i narusheniia sotsial’noi napravlennosti pri shizofrenii. [Social anhedonia and violations of social orientation in schizophrenia]. In Sb. materialov nauch. konf. «Teoreticheskie i prikladnye problemy meditsinskoi (klinicheskoi) psikhologii» [Coll. scientific materials. Conf. “Theoretical and applied problems of medical (clinical) psychology”]. Moscow: FGBI “Mental Health Research Center” RAMS, MGPPU. 2013. S. 92–93 (In Russ.)
  8. Sergienko E.A., Lebedeva E.I., Prusakova O.A. Model’ psikhicheskogo v ontogeneze cheloveka [Mental model in human ontogeny]. Moscow: Institute of Psychology RAS, 2009. 412 pp. (In Russ.).
  9. Starostina E.G., Teilor G.D., Kvilti L.K., Bobrov A.E. et al. Torontskaia shkala aleksitimii (20 punktov): validizatsiia russkoiazychnoi versii na vyborke terapevticheskikh bol’nykh [Toronto alexithymia scale (20 points): validation of the Russian version of a sample of medical patients]. Sotsial’naia i klinicheskaia psikhiatriia [Social and clinical psychiatry], 2010, vol. 20, no. 4, pp. 31–38 (In Russ.)
  10. Tarabrina N.V. Praktikum po psikhologii posttravmaticheskogo stressa [Workshop on the psychology of post- traumatic stress]. St. Petersburg: Piter, 2001. 272 pp. (In Russ.)
  11. Kholmogorova A.B. Priroda narushenii sotsial’nogo poznaniia pri psikhicheskoi patologii: kak primirit’ «bio» i «sotsio»? [The nature of social cognition disorders in the mental disorders: how to reconcile the “bio” and “socio”?]. Konsul’tativnaia psikhologiia i psikhoterapiia [Counseling Psychology and psychotherapy], 2014, no. 4, pp. 8–29 (In Russ.)
  12. Baron-Cohen S., Leslie A.M., Frith U. Does the autistic child have a ‘theory of mind’. Cognition, 1985, vol. 21, pp. 37–46.
  13. Baron-Cohen S., Wheelwright S., Hill J., Raste Y., Plumb I. The “Reading the Mind in the Eyes” Test Revised Version: A Study with Normal Adults, and Adults with Asperger Syndrome or High-functioning Autism. Journal of Child Psychology and Psychiatry, 2001, vol. 42, no. 2, pp. 241–251.
  14. Bateman A., Fonagy P. Psychotherapy for borderline personality disorder. Mentalization-based treatment. Oxford: Oxford university press, 2003. 478 p.
  15. Bohl V. We read minds to shape relationships. Philosophical Psychology, 2014, vol. 28, no. 5, pp. 674–694.
  16. Brothers L. The social brain: A project for integrating primate behaviour and neurophysiology in a new domain. Concepts Neuroscience, 1990, vol. 1, pp. 227–251.
  17. Burns J. The social brain hypothesis of schizophrenia. World psychiatry, 2006, vol. 5, no. 2, рр. 77–81.
  18. Carpendale J., Lewis C. How children develop social understanding. Oxford: Blackwell, 2006. 323 p.
  19. Chen Y. Face Perception in Schizophrenia Spectrum Disorders: Interface Between Cognitive and Social Cognitive Functioning. In M. Ritsner (ed.), Handbook of Schizophrenia Spectrum Disorders, Volume II Phenotypic and Endophenotypic Presentations. Springer Science, Business Media, 2011, pp. 111–121.
  20. Fernyhough C. Getting Vygotskian about theory of mind: Mediation, dialogue, and the development of social understanding. Developmental Review, 2009, vol. 28, pp. 225–262.
  21. Fonagy P., Gergely G., Jurist E.L., Target M. Affect regulation, mentalization, and the development of self. N. Y.: Other Press, 2002. 592 p.
  22. Frith U., Morton J., Leslie A.M. The cognitive basis of a biological disorder: autism. Trends in Neurosciences, 1991, vol. 14, pp. 433–438.
  23. Marneros A., Akiskal H.S. The Overlap of Affective and Schizophrenic Spectra. Cambridge Academ., 2009. 312 p.
  24. Premack D., Woodruff G. Does the chimpanzee have a theory of mind?. Behavioural and Brain Sciences, 1978, vol. 1, pp. 515–526.
  25. Smoller J.W., Craddock N., Kendler K. Identification of risk loci with shared effects on five major psychiatric disorders: a genome-wide analysis. The Lancet, 2013, vol. 381, no. 1, pp. 1371–1379.
  26. Whiten A. (ed.) Natural theories of mind. Oxford: Basil, 1991. 31 p.

Information About the Authors

Alla B. Kholmogorova, Doctor of Psychology, Professor, Dean of the Faculty of Counseling and Clinical Psychology, Moscow State University of Psychology & Education, Leading Researcher, Moscow Research Institute of Psychiatry (A Branch of the National Medical Research Centre for Psychiatry and Narcology), Moscow, Russia, ORCID: https://orcid.org/0000-0001-5194-0199, e-mail: kholmogorova@yandex.ru

Mariya A. Moskacheva, Junior Researcher, Laboratory of Clinical Psychology and Psychotherapy, State Research Center for Social and Forensic Psychiatry named after V.P. Serbsky, Ministry of Health of Russia, Moscow, Russia, e-mail: moskacheva.m@gmail.com

Olga V. Rychkova, Doctor of Psychology, Professor of the Department of clinical psychology and psychotherapy, Deputy Dean for Educational and Methodological Work, Moscow State University of Psychology & Education, Moscow, Russia, ORCID: https://orcid.org/0000-0002-2866-2810, e-mail: rychkovao@bk.ru

Olga D. Pugovkina, PhD in Psychology, Assistant Professor, Associate Professor, Chair of Clinical Psychology and Psychotherapy, Department of Clinical and Counseling Psychology, Moscow State University of Psychology and Education, Senior Research Associate, Department of Clinical Psychology and Psychological Counseling, Moscow Research Institute of Psychiatry — Branch of The Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia, ORCID: https://orcid.org/0000-0003-2878-9843, e-mail: olgapugovkina@yandex.ru

Victoria V. Krasnova-Goleva, PhD in Psychology, esearch fellow of the laboratory of clinical psychology and psychotherapy, Moscow Research Institute of Psychiatry of the Russian Federation, Moscow, Russia, e-mail: v.krasnova@inbox.ru

Alexandra Dolnykova, Researcher, Laboratory of Clinical Psychology and Psychotherapy, State Research Center for Social and Forensic Psychiatry named after V.P. Serbsky, Moscow, Russia, e-mail: dolnyko@gmail.com

Dmitry M. Tsarenko, PhD in Medicine, senior researcher, Laboratory of Psychological Counseling and Psychotherapy, Moscow Research Institute of Psychiatry— Branch of The Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia, e-mail: dropship@rambler.ru

Yu. M. Rumyantseva, Clinical psychologist, Psychiatric Hospital named after P.B. Gannushkin, Moscow, Russia, e-mail: jacky-j@mail.ru

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